Individual
JOSE E PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5934 S STAPLES ST, SUITE #230, CORPUS CHRISTI, TX 78413-3842
(361) 993-1640
(361) 985-2065
Mailing address
PO BOX 72746, CORPUS CHRISTI, TX 78472-2746
(361) 993-1640
(361) 985-2065
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K0974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00394G
BCBS OF TX
TX
Enumeration date
11/21/2005
Last updated
10/04/2007
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